| NPI | 1912191818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2019-02718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.201571) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 32116) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2022-07-27 |